Title

Parental Perceptions of Pediatric Pain and POTS-Related Disability.

Document Type

Article

Publication Date

11-1-2017

Identifier

DOI: 10.1177/0009922816681137

Abstract

Adolescents with postural orthostatic tachycardia syndrome (POTS) often have pain and functional impairment. This study evaluated how parental attributions of children's symptoms relate to child functional impairment. Adolescents with chronic pain and clinical symptoms suggestive of autonomic dysfunction (fatigue, dizziness, nausea) that attended a multidisciplinary chronic pain clinic completed measures of depression, anxiety, and functioning (n = 141). Parents of 114 of these patients completed the Parent Pain Attribution Questionnaire (PPAQ), a measure indicating the extent they believe physical and psychosocial factors account for their child's health condition. Patients were retrospectively grouped as to whether or not they had significant POTS on tilt table testing (n = 37). Greater parental attribution to physical causes was associated with increased levels of functional disability whether patients had POTS ( r = 0.45, P = .006) or not ( r = 0.25, P = .03). These results suggest that providers should advocate a more comprehensive family-oriented rehabilitative approach to treatment.

Journal Title

Clinical pediatrics

Volume

56

Issue

13

First Page

1185

Last Page

1192

MeSH Keywords

Adolescent; Anxiety; Child; Chronic Pain; Depression; Disabled Children; Female; Humans; Male; Pain Measurement; Parent-Child Relations; Parents; Postural Orthostatic Tachycardia Syndrome; Retrospective Studies; Surveys and Questionnaires; Young Adult

Keywords

Children; Teenagers; POTS; autonomic dysfunction; child functional impairment; chronic pain; parental attributions; postural orthostatic tachycardia syndrome

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